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Cardiac Tumors and Masses > Cardiac Tumors and Masses > Flashcards

Cardiac Tumors and Masses Flashcards

1
Q

What is the most common primary benign tumor?

A

Myxoma

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2
Q

Myxoma

A

LA, attachment mid atrial septum (pedicle)
RA
Characteristics vary, not homogenous
RX surgery

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3
Q

A papillary fibroelastoma is also known as

A

A papilloma

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4
Q

A papilloma most commonly involves what?

A

Valves

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5
Q

What valves are most typically involved in adults? Papillary fibroelastoma

A

MV and AOV

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6
Q

Papillary Fibroelastoma (papilloma)

A

Usually small <2 cm diameter
Mobile, pedunculated
Frond Shaped
Clinical correlation to differentiate from vegetation

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7
Q

Lipoma

A

Fat cells

LV, RA, IVS typically

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8
Q

Lipomatous septum (IAS)

A

“dumbbell septum”
Bright, dense IAS
Sparring of the fossa ovalis

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9
Q

What is the most common benign tumor in children?

A

Rhabdomyoma

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10
Q

Rhabdomyoma

A 
Frequently multiple tumors, LV, RV typically
     -In walls or cavity
Check for obstruction of AV valves
Associated with morality or sudden death
RX;surgery
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11
Q

A fibroma most commonly occurs where?

A

LV wall
Can extend into cavity as enlarges
Can obstuct LV filling

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12
Q

A fibroma is most often seen in what age group?

A

Kids

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13
Q

A hemangioma most often occurs on what side?

A

Any chamber, often right side

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14
Q

Which type of primary benign tumor is often small and may contain lakes or channels?

A

Hemangioma

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15
Q

Wich type of primary benign tumor is vascular?

A

Hemangioma

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16
Q

Which type of primary benign tumor contains all 3 germ cell layers?

A 
Teratoma
Often contains various cells
Skeletal
Nerve
Connective tissues
post-op finding of these
17
Q

Where does a teratoma typically occur?

A

RA, RV, IVS typical

18
Q

Which primary malignant tumor is a soft tissue tumor of blood vessels?

A

Angiosarcoma

19
Q

What is the most common primary malignant tumor?

A

Angiosarcome

20
Q

Which primary malignant tumor occurs more often in males than females?

A

Angiosarcoma

21
Q

Angiosarcoma

A

Primary Malignant
80% RA (face, head, liver, chest, heart)
Can rupture into pericardium&raquo_space;»>tamponade
Can consume chamber cavity, compress, obstruct

22
Q

What is the second most common primary malignant tumor?

A

Rhadomyosarcoma

Often found in younger patients

23
Q

Rhabdomyosarcoma

A 
Primary malignant
Multiple lesions, multiple locations
Invades tissues adjacent to original site
Mets to liver, lungs, skeleton
Echodense, irregular borders
24
Q

Where does a fibrosarcoma typically occur?

A

RV, LV typically

25
Q

Which primary malignant tumor has a “fish flesh appearance”?

A

Fibrosarcoma

26
Q

Fibrosarcoma

A

Often protrude into cavity;obstruction

May invade vena cava, pulm veins, pericardium

27
Q

Secondary tumors are _____ common than primary.

A

Far more

28
Q

Most secondary tumors involve _______, ______, ______.

A

Pericardium, epicardium, and myocardium

29
Q

Secondary Tumors

A

Metastatic
Most involve pericardium, epicardium, and myocardium
-Direct invasion
-Propagation through blood, venous system
-Through Lymph system
External compression of heart( adjacent areas) pericardial effusion.

30
Q

Melanoma

A

Secondary Tumor

Mets to pericardium, myocardium

31
Q

What is the cause of most secondary cardiac tumors?

A

Lung and Breast Cancer

32
Q

Which secondary tumor is associated with AIDS?

A

Lymphoma

33
Q

Renal cell carcinoma

A

Finger-like tumor seen extending from IVC
Possibly into RA
Often can be traced back to the kidney

34
Q

What are some normal variants that might present as a false positive for a cardiac mass?

A 
False tendons
Moderator Band
Pacemaker leads
Catheters
Chiari Network
Eustachian, thesbian valves
Trabeculations, pectinante, muscle bundles, Lambl's
Suture lines, transplant
35
Q

Primary cardiac tumors are ______

A

rare

36
Q

List the primary benign tumors

A 
Myxoma
Papillary Fibroelastoma
Lipoma
Rhabdomyoma 
Fibroma
Hemangioma
Teratoma
37
Q

List the primary malignant tumors

A 
Angiosarcoma
Rhabdomyosarcoma
Lymphoma
Melanoma
Mesothelioma
Fibrosarcoma

Cardiac Tumors and Masses (1 decks)

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